| NPI | 1205397247 |
|---|---|
| Doing Business As | @PROMISE CENTER |
| Entity Type | Organization |
| Authorized Contact | DAN JAMES BELLOR Clinic Administrator 404-486-9034 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Enumeration Date | 2019-03-30 |
| Last Update Date | 2019-03-30 |